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Annals of Oncology Advance Access published online on September 17, 2007
Annals of Oncology, doi:10.1093/annonc/mdm355
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© 2007 European Society for Medical Oncology

Estimation of the risk for nutritional state degradation in patients with cancer: development of a screening tool based on results from a cross-sectional survey

A. Nourissat1,*, D. Mille1, G. Delaroche1, J. P. Jacquin1, J. M. Vergnon2, P. Fournel1,2, P. Seffert2, J. Porcheron2, P. Michaud1, Y. Merrouche1 and F. Chauvin1

1 Institut de Cancérologie de la Loire
2 Centre Hospitalier Universitaire, Saint Etienne, France

* Correspondence to: Dr A. Nourissat, Département de Santé Publique, Institut de Cancérologie de la Loire, 108 bis avenue Albert Raimond, 42270 Saint Priest en Jarez, France. Tel: +33-4-77-12-74-46; Fax: +33-4-77-12-74-60; E-mail: alice.nourissat{at}icloire.fr.

Background: In routine practice, the evaluation of the nutritional status of patients with cancer is not always performed although there is frequent modification as disease progresses. The validated screening and evaluation tools currently available are time-consuming and costly. In this study we analysed factors that could be used to identify patients likely to need nutritional surveillance or intervention.

Patients and methods: A cross-sectional survey was carried out for 2 weeks in June 2006 on 477 patients with cancer.

Results: 30.2% of the patients had lost more than 10% of their body weight since the start of the illness. After adjustment, the factors significantly associated with weight loss were: depressive state (OR = 3.49; P = 0.002), digestive or ENT tumours (OR = 3.20; P = <0.001), chemotherapy (OR = 2.66; P = 0.011), male gender (OR = 2.30; P = 0.001) and professional status (OR = 2.08; P = 0.02). Using a logistic model, we calculated the risk of weight loss as a function of the presence of the identified predictive factors.

Conclusion: We report a simple screening tool, which will not replace the available evaluation methods but will enable targeting of the patients most likely, after a specific evaluation, to benefit from nutritional intervention. This remains to be validated in further prospective studies.

cancers, cross-sectional study, nutritional status assessment, risk factors, weight loss

Received for publication March 20, 2007. Revision received June 12, 2007. Accepted for publication June 12, 2007.


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